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一例采用中药治疗的妊娠重度贫血病例。

A Case of Severe Anemia in Pregnancy Treated With Traditional Chinese Medicine.

作者信息

Zhong Suqin, Xie Ting

机构信息

Department of Traditional Chinese Medicine Ganzhou Maternity & Child Health Hospital Ganzhou City Jiangxi Province China.

Department of Traditional Chinese Medicine Pharmacy Ganzhou Maternity & Child Health Hospital Ganzhou City Jiangxi Province China.

出版信息

Clin Case Rep. 2025 Aug 1;13(8):e70672. doi: 10.1002/ccr3.70672. eCollection 2025 Aug.

Abstract

This case report describes the treatment of a 29-year-old pregnant woman with severe anemia using traditional Chinese medicine (TCM). The patient, at 5 weeks of gestation, presented with a hemoglobin level of 75 g/L and had a history of autoimmune hemolytic anemia and alpha-thalassemia, which had previously led to pregnancy termination at 17 weeks. In this case, TCM was administered with a therapeutic focus on nourishing Qi and blood, tonifying the kidneys, and supporting gestational maintenance. The patient's anemia persisted throughout gestation, with fluctuating hemoglobin levels that ultimately measured 77 g/L at delivery. Despite sustained anemia and the absence of blood transfusion, the pregnancy proceeded without major complications and resulted in the full-term birth of a healthy infant weighing 2350 g.

摘要

本病例报告描述了一名29岁重度贫血孕妇的中医治疗情况。该患者妊娠5周时,血红蛋白水平为75g/L,既往有自身免疫性溶血性贫血和α地中海贫血病史,此前曾导致17周时终止妊娠。在本病例中,采用中医治疗,重点是益气养血、补肾安胎。患者整个孕期贫血持续存在,血红蛋白水平波动,分娩时最终测得为77g/L。尽管持续贫血且未输血,但妊娠过程未出现重大并发症,足月分娩出一名体重2350g的健康婴儿。

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